Chlamydia trachomatis infection in pregnancy and effect of treatment on outcome.
The effect of Chlamydia trachomatis on pregnancy outcome and the effect of treatment of positive cervical cultures was studied by culturing 11,544 women for chlamydia at their first prenatal visit. Chlamydia culture was positive in 2433 (21.08%) and prevalence was related to age and race. Of the positive cultures, 1110 were classified as untreated. The untreated group demonstrated a significant increase in the incidence of premature rupture of the membranes and low birth weight and a decrease in survival when compared with either those with positive cultures who received treatment (N = 1323) or those with negative cultures (N = 9111). Screening of populations at high risk of chlamydia is recommended and treatment of chlamydia-positive patients may improve pregnancy outcome.
Ryan
G M
GM
Department of Obstetrics and Gynecology, University of Tennessee College of Medicine, Memphis.
Abdella
T N
TN
McNeeley
S G
SG
Baselski
V S
VS
Drummond
D E
DE
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002584:Cervix Uteri / Q000382:microbiology; D002689:Chlamydia / Q000302:isolation & purification; D002690:Chlamydia Infections / Q000188:drug therapy* / Q000382:microbiology / Q000401:mortality; D005260:Female; D006801:Humans; D007226:Infant Mortality; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D012044:Regression Analysis; D015996:Survival Rate
D000900:Anti-Bacterial Agents